Provider Demographics
NPI:1578577888
Name:ABRAMSOHN, HOWARD SANFORD (DPM)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:SANFORD
Last Name:ABRAMSOHN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 BRIGGS RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4640
Mailing Address - Country:US
Mailing Address - Phone:856-234-5180
Mailing Address - Fax:856-234-3230
Practice Address - Street 1:2309 BRIGGS RD
Practice Address - Street 2:SUITE 308
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054
Practice Address - Country:US
Practice Address - Phone:856-234-5180
Practice Address - Fax:856-234-3230
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00112000213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3013103Medicaid
T73081Medicare UPIN
NJ3013103Medicaid